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Home/Diagnosis/ICD-10 Coding for Pain in the Right Knee

ICD-10 Coding for Pain in the Right Knee

M25.561
M17.11
M23.21

Complete ICD-10-CM coding and documentation guide for icd-10 coding for pain in the right knee includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Right Knee Pain
Knee Pain on Right Side
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Key Information: ICD-10 Coding for Pain in the Right Knee

Essential facts and insights about ICD-10 Coding for Pain in the Right Knee

Use ICD-10 code M25.561 for pain in right knee, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in right knee

Billable Code
M25.561
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to the right knee without specific diagnosis
coding:
  • • No trauma or specific condition identified
documentation:
  • • Documentation must specify 'right knee' and describe pain characteristics

Applicable To

  • • Localized pain in right knee

Important Notes

  • • Ensure documentation specifies 'right knee' to avoid unspecified coding.

Unilateral primary osteoarthritis, right knee

Billable Code
M17.11
Billable

Applicable To

  • • Osteoarthritis confirmed by imaging

Important Notes

  • • Ensure imaging results are documented to support osteoarthritis diagnosis.

Derangement of anterior cruciate ligament, right knee

Non-Billable
M23.21
Non-Billable

Applicable To

  • • ACL tear confirmed by MRI

Important Notes

  • • Ensure MRI findings are documented to support ligament injury diagnosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain syndrome

Use for chronic pain management when pain persists beyond normal healing time.

Frequently Asked Questions

What is the ICD-10 code for pain in the right knee?

The ICD-10 code for pain in the right knee is M25.561. It is used when the pain is localized to the right knee without a specific underlying condition.

How do you code right knee pain due to osteoarthritis?

For right knee pain due to osteoarthritis, use ICD-10 code M17.11, which requires documentation of imaging confirming osteoarthritis.

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